Background: Optimal femoral artery access plays an important role in minimizing complications associated with cardiac catheterization. Suboptimal access can occur with traditional method. Ultrasound guided femoral access can minimize the vascular complications by reducing the attempts to catheterize the artery.

Aim of the Study: This study is conducted to compare the procedural and clinical outcomes of femoral arterial access with ultrasound (US) guidance versus traditional approach.
Patients and Methods: We investigated a total of 50 patients undergoing elective coronary angiography via the femoral artery in Mansoura cardiology department between January 2020 to January 2022 as prospective comparative cross-sectional study.

Results: Successful CFA cannulation occurred in 92.0% of US guided procedures compared with 56% of traditional approach (P